Individual
DEIDRA FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(804) 840-8980
Mailing address
4908 MONARCH LN, KISSIMMEE, FL 34746-5164
(804) 840-8980
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9379261
FL
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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